Organization
ROLAND S. BEVERLY III, M.D., P.C.
Active
Organization
ROLAND S. BEVERLY III, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND SPURGEON BEVERLY III M.D. (OWNER)
(949) 831-3057
Entity
Organization
Contact information
Practice address
24541 PACIFIC PARK DR, SUITE 103, ALISO VIEJO, CA 92656-3065
(949) 831-3057
(949) 831-2515
Mailing address
24541 PACIFIC PARK DR, SUITE 103, ALISO VIEJO, CA 92656-3065
(949) 831-3057
(949) 831-2515
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G65658
CA
Other
Enumeration date
07/01/2008
Last updated
07/23/2008
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